First Step: Home/School Intervention for Preschoolers with Disruptive Behaviors

第一步：对有破坏性行为的学龄前儿童进行家庭/学校干预

基本信息

批准号：
7738487
负责人：
EDWARD GUSTAV FEIL
金额：
$ 58.98万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-12-01 至 2013-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7738487
关键词：
Academic achievement Adaptive Behaviors Adolescence Adolescent Adult Advocate African Aggressive behavior Australia Behavior Behavior Disorders Behavioral Canada Caregivers Characteristics Child Child Behavior Collaborations Communities Consultations Consumer Satisfaction Cost-Benefit Analysis Dependence Development Disease Early treatment Employment Environment Europe European Exposure to Family Focus Groups Foundations Future Goals Head Start Program Hispanic Americans Home environment Hospitalization Household Impairment Interpersonal Relations Intervention Life Longitudinal Studies Low income Maintenance Measures Mediating Mental Health Neighborhoods New Zealand Nursery Schools Oppositional Defiant Disorder Outcome Parent-Child Relations Parents Participant Pattern Preschool Child Prevalence Problem behavior Procedures Randomized Controlled Trials Readiness Research Research Personnel Risk Risk Factors Schools Secondary Prevention Services Site Social Welfare Social Workers Staging Student Dropouts Students Testing Time Walkers Youth anti social base career cost design dosage early childhood externalizing behavior high risk improved intervention effect intervention program kindergarten life course persistent mortality peer programs public health relevance remediation research and development skills social social skills success teacher therapy design

项目摘要

DESCRIPTION (provided by applicant): The mental health field is currently faced with the challenge of reducing the prevalence of antisocial behavior in children. Children with conduct and oppositional defiant disorders require a substantial effort for remediation. Longitudinal research indicates that increased antisocial behavior and impairments in social competence skills often serve as harbingers of future adjustment problems in a number of domains including mental health, interpersonal relations, employment, and academic achievement. Longitudinal studies of the progression of antisocial behavior patterns among youth in the U.S., Canada, Australia, New Zealand and Europe converge in showing a path leading from early exposure to risk factors in family, neighborhood and community contexts, to behavioral manifestations in school, to delinquency and school dropout in adolescence, and finally to a host of adult adjustment problems including welfare dependence, criminality, marital difficulties, employment problems and higher hospitalization-mortality rates. It is critical to divert at-risk children from this path as soon as possible in their lives and school careers through early, coordinated interventions involving parents and caregivers, teachers and peers. Preschool (e.g. Head Start) is an ideal setting for accomplishing this task in collaboration with families. This application outlines five years of research and development activities that will adapt and assess the efficacy of the First Step to Success early intervention program for effective use with early childhood programs serving low-income children (e.g., Head Start). First Step is a collaborative home and school intervention program, delivered by a behavioral coach and lasting approximately three months, that is geared for regular kindergarten classroom settings and designed to help at-risk children get off to the best start possible in their school careers. First Step is an early intervention designed to achieve secondary prevention goals and outcomes within the context of schooling. The adapted version of the First Step program would provide Head Start consumers, staff and professionals with a proven intervention option that will produce the following benefits: 1) amelioration and/or elimination of serious behavior problems such as aggression, opposition- defiance, and other indicators of emerging antisocial behavior and externalizing behavior disorders, 2) substantially improved school readiness, and 3) improvements in the target child's critically important relationships with the key social agents of parents and caregivers, teachers and peers. PUBLIC HEALTH RELEVANCE: This application outlines five years of research and development activities that will adapt and assess the efficacy of the First Step to Success early intervention program for effective use with early childhood programs, such as Head Start. This preschool version of the First Step program would provide Head Start consumers, staff and professionals with a proven intervention option that will produce the following benefits: 1) amelioration and/or elimination of serious behavior problems such as aggression, opposition- defiance, and other indicators of emerging antisocial behavior and externalizing behavior disorders, 2) substantially improved school readiness, and 3) improvements in the target child's critically important relationships with the key social agents of parents and caregivers, teachers and peers.

描述（由申请人提供）：心理健康领域目前面临着减少儿童反社会行为发生率的挑战。患有行为障碍和对立违抗障碍的儿童需要付出巨大的努力来进行补救。纵向研究表明，反社会行为的增加和社交能力技能的损害往往是未来在心理健康、人际关系、就业和学业成就等许多领域出现适应问题的先兆。对美国、加拿大、澳大利亚、新西兰和欧洲青少年反社会行为模式进展的纵向研究集中显示了一条路径：从早期接触家庭、邻里和社区环境中的危险因素，到在学校中的行为表现，再到青春期的犯罪和辍学，最后导致一系列成人适应问题，包括福利依赖、犯罪、婚姻困难、就业问题和较高的住院死亡率。至关重要的是，通过父母和看护者、教师和同龄人的早期协调干预，尽快让高危儿童在生活和学校生涯中远离这条道路。学前班（例如 Head Start）是与家庭合作完成这项任务的理想环境。本申请概述了五年的研究和开发活动，这些活动将适应和评估“成功的第一步”早期干预计划的有效性，以便有效地用于为低收入儿童提供服务的幼儿计划（例如，Head Start）。 “第一步”是一项家庭和学校协作干预计划，由行为教练提供，持续约三个月，适合常规幼儿园课堂环境，旨在帮助高危儿童在学校生涯中获得最佳开端。第一步是早期干预，旨在在学校教育范围内实现二级预防目标和成果。第一步计划的改编版本将为 Head Start 消费者、工作人员和专业人士提供行之有效的干预方案，这将产生以下好处：1) 改善和/或消除严重的行为问题，例如攻击性、反对反抗和其他行为问题。新出现的反社会行为和外化行为障碍的指标，2）显着提高入学准备度，3）改善目标儿童与父母和照顾者、老师和同龄人等关键社会代理人的至关重要的关系。公共卫生相关性：本申请概述了五年的研究和开发活动，这些活动将适应和评估“成功的第一步”早期干预计划的功效，以便有效地用于早期儿童计划，例如“启蒙”。这个学前版本的第一步计划将为 Head Start 消费者、工作人员和专业人士提供行之有效的干预方案，这将产生以下好处：1) 改善和/或消除严重的行为问题，如攻击性、反对反抗和其他行为问题。新出现的反社会行为和外化行为障碍的指标，2）显着提高入学准备度，3）改善目标儿童与父母和照顾者、老师和同龄人等关键社会代理人的至关重要的关系。